CPT code 58660: Adhesiolysis, fallopian tube or ovary2026 Medicare rate & RVUs in New Mexico
Reports operative laparoscopic release of adhesions tethering fallopian tubes or ovaries when the adhesiolysis is a distinct therapeutic part of the procedure.
In New Mexico, Medicare pays $629.32 for 58660 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 58660 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 58660 covers
Code 58660 represents laparoscopic release of adhesions involving the fallopian tubes or ovaries, also called salpingolysis or ovariolysis. A gynecologic surgeon uses instruments passed through small abdominal incisions to free tissue restricted by fibrous bands. Common settings include pelvic adhesions after prior surgery, inflammation, or endometriosis when the adhesions are treated rather than merely observed during inspection.
Select this code for the adhesiolysis actually performed, and document the affected structures, the adhesions treated, and the operative work. Distinguish that work from removal of an adnexa or excision of a pelvic lesion, which may point to a different procedure code. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. CMS applies endoscopy-family pricing when related endoscopies are performed together. A bilateral adjustment does not apply, and modifier 50 is inappropriate. Assistant-at-surgery payment may be available, co-surgeons are permitted, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How New Mexico compares for 58660
Across 109 of 109 payment localities, the facility rate for 58660 runs from $565.10 in Arkansas to $791.89 in Alaska. New Mexico pays $629.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$629.32
- Los Angeles, CA · California$647.78+$18.46
- Washington, DC area · District of Columbia$687.37+$58.05
- Miami, FL · Florida$755.65+$126.33
- Chicago, IL · Illinois$733.61+$104.29
- Manhattan, NY · New York$725.85+$96.53
- Alaska · Alaska$791.89+$162.57
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $571.87 |
| ArkansasArkansas | — | $565.10 |
| ArizonaArizona | — | $610.90 |
| Bakersfield, CACalifornia | — | $620.24 |
| Chico, CACalifornia | — | $613.71 |
| El Centro, CACalifornia | — | $614.10 |
| Fresno, CACalifornia | — | $613.71 |
| Hanford, CACalifornia | — | $613.71 |
| Madera, CACalifornia | — | $613.71 |
| Merced, CACalifornia | — | $613.71 |
| Modesto, CACalifornia | — | $613.71 |
| Napa, CACalifornia | — | $666.82 |
| Oxnard, CACalifornia | — | $639.45 |
| Redding, CACalifornia | — | $613.71 |
| Rest of CaliforniaCalifornia | — | $613.71 |
| Riverside, CACalifornia | — | $639.18 |
| Sacramento, CACalifornia | — | $632.34 |
| Salinas, CACalifornia | — | $629.76 |
| San Diego, CACalifornia | — | $636.19 |
| Marin County, CACalifornia | — | $690.75 |
| San Francisco, CACalifornia | — | $688.06 |
| San Benito County, CACalifornia | — | $707.98 |
| Santa Clara County, CACalifornia | — | $696.97 |
| San Luis Obispo, CACalifornia | — | $621.06 |
| Santa Cruz, CACalifornia | — | $635.57 |
| Santa Maria, CACalifornia | — | $629.83 |
| Santa Rosa, CACalifornia | — | $641.19 |
| Stockton, CACalifornia | — | $613.71 |
| Vallejo, CACalifornia | — | $662.94 |
| Visalia, CACalifornia | — | $613.71 |
| Yuba City, CACalifornia | — | $613.71 |
| ColoradoColorado | — | $625.74 |
| ConnecticutConnecticut | — | $664.94 |
| DelawareDelaware | — | $619.44 |
| Fort Lauderdale, FLFlorida | — | $693.79 |
| Rest of FloridaFlorida | — | $659.90 |
| Atlanta, GAGeorgia | — | $647.38 |
| Rest of GeorgiaGeorgia | — | $624.33 |
| Hawaii, Guam, HIHawaii | — | $617.71 |
| IowaIowa | — | $565.33 |
| IdahoIdaho | — | $572.20 |
| East St. Louis, ILIllinois | — | $694.19 |
| Rest of IllinoisIllinois | — | $657.29 |
| Suburban Chicago, ILIllinois | — | $695.97 |
| IndianaIndiana | — | $574.43 |
| KansasKansas | — | $571.92 |
| KentuckyKentucky | — | $601.89 |
| New Orleans, LALouisiana | — | $628.28 |
| Rest of LouisianaLouisiana | — | $604.61 |
| Metropolitan Boston, MAMassachusetts | — | $667.55 |
| Rest of MassachusettsMassachusetts | — | $626.64 |
| Baltimore area, MDMaryland | — | $664.89 |
| Rest of MarylandMaryland | — | $626.94 |
| Rest of MaineMaine | — | $584.00 |
| Southern Maine, MEMaine | — | $596.85 |
| Detroit, MIMichigan | — | $675.92 |
| Rest of MichiganMichigan | — | $622.94 |
| MinnesotaMinnesota | — | $576.83 |
| Metropolitan Kansas City, MOMissouri | — | $615.35 |
| Metropolitan St. Louis, MOMissouri | — | $619.55 |
| Rest of MissouriMissouri | — | $601.95 |
| MississippiMississippi | — | $583.17 |
| MontanaMontana | — | $627.44 |
| North CarolinaNorth Carolina | — | $587.57 |
| North DakotaNorth Dakota | — | $580.58 |
| NebraskaNebraska | — | $565.20 |
| New HampshireNew Hampshire | — | $624.72 |
| Northern New JerseyNew Jersey | — | $684.13 |
| Rest of New JerseyNew Jersey | — | $666.11 |
| NevadaNevada | — | $614.55 |
| NYC suburbs and Long Island, NYNew York | — | $751.92 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $677.46 |
| Queens, NYNew York | — | $717.87 |
| Rest of New YorkNew York | — | $595.54 |
| OhioOhio | — | $613.36 |
| OklahomaOklahoma | — | $591.65 |
| Portland, OROregon | — | $632.36 |
| Rest of OregonOregon | — | $603.41 |
| Metropolitan Philadelphia, PAPennsylvania | — | $656.69 |
| Rest of PennsylvaniaPennsylvania | — | $609.23 |
| Puerto RicoPuerto Rico | — | $628.30 |
| Rhode IslandRhode Island | — | $631.87 |
| South CarolinaSouth Carolina | — | $602.73 |
| South DakotaSouth Dakota | — | $575.04 |
| TennesseeTennessee | — | $575.39 |
| Austin, TXTexas | — | $629.25 |
| Beaumont, TXTexas | — | $606.59 |
| Brazoria, TXTexas | — | $611.67 |
| Dallas, TXTexas | — | $619.07 |
| Fort Worth, TXTexas | — | $618.39 |
| Galveston, TXTexas | — | $615.81 |
| Houston, TXTexas | — | $659.19 |
| Rest of TexasTexas | — | $611.20 |
| UtahUtah | — | $609.27 |
| VirginiaVirginia | — | $601.42 |
| Virgin Islands, VIUnited States Virgin Islands | — | $628.30 |
| VermontVermont | — | $586.79 |
| Rest of WashingtonWashington | — | $622.65 |
| King County, WAWashington | — | $670.81 |
| WisconsinWisconsin | — | $565.64 |
| West VirginiaWest Virginia | — | $639.32 |
| WyomingWyoming | — | $607.02 |
58660 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 58660 rate is calculated
Each of 58660’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58660
RVUs × geographic indexes × conversion factor
Work11.30
11.30 RVUs× 1.000 GPCI
Practice expense5.12
5.12 RVUs× 1.000 GPCI
Malpractice2.37
2.37 RVUs× 1.000 GPCI
Adjusted RVUs
18.7900
Conversion factor
$33.4009
Medicare rate
$627.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,586
- Code
- 58660
- Physician work
- 11.30
- Practice expense
- 5.12
- Malpractice
- 2.37
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.30 | × 1.000 | 11.3000 |
| Practice expense | 5.12 | × 0.917 | 4.6950 |
| Malpractice | 2.37 | × 1.201 | 2.8464 |
| Total RVUs | 18.8414 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$629.32
Facility: (11.3 × 1 + 5.12 × 0.917 + 2.37 × 1.201) × $33.4009 = $629.32
Payment rules and modifiers for 58660
58660 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 58660
Adhesiolysis, fallopian tube or ovary
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 58660
Adhesiolysis, fallopian tube or ovary
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58660 without 51 · national facility
$627.60
Adhesiolysis, fallopian tube or ovary
58660-51 · Second procedure: 50%
$313.80
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 58660 has changed in New Mexico
58660 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $629.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $629.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $629.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $629.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $661.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $661.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $661.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $661.68 | RVU25A |
| 2024-10-01 | Not available in this setting | $679.41 | RVU24D |
| 2024-07-01 | Not available in this setting | $679.41 | RVU24C |
| 2024-04-01 | Not available in this setting | $679.41 | RVU24B |
| 2024-03-09 | Not available in this setting | $679.41 | RVU24AR |
| 2024-01-01 | Not available in this setting | $668.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $683.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $683.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $683.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $683.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $691.15 | RVU22D |
| 2022-07-01 | Not available in this setting | $691.15 | RVU22C |
| 2022-04-01 | Not available in this setting | $691.15 | RVU22B |
| 2022-01-01 | Not available in this setting | $691.15 | RVU22A |
| 2021-10-01 | Not available in this setting | $688.03 | RVU21D |
| 2021-07-01 | Not available in this setting | $688.03 | RVU21C |
| 2021-04-01 | Not available in this setting | $688.03 | RVU21B |
| 2021-01-01 | Not available in this setting | $688.03 | RVU21A |
| 2020-10-01 | Not available in this setting | $703.77 | RVU20D |
| 2020-07-01 | Not available in this setting | $703.77 | RVU20C |
| 2020-04-01 | Not available in this setting | $703.77 | RVU20B |
| 2020-01-01 | Not available in this setting | $703.77 | RVU20A |
| 2019-10-01 | Not available in this setting | $689.88 | RVU19D |
| 2019-07-01 | Not available in this setting | $689.88 | RVU19C |
| 2019-04-01 | Not available in this setting | $689.88 | RVU19B |
| 2019-01-01 | Not available in this setting | $689.88 | RVU19A |
| 2018-10-01 | Not available in this setting | $684.56 | RVU18D |
| 2018-07-01 | Not available in this setting | $684.56 | RVU18C |
| 2018-04-01 | Not available in this setting | $684.56 | RVU18B |
| 2018-01-01 | Not available in this setting | $684.56 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $682.76 | RVU17D |
| 2017-07-01 | Not available in this setting | $682.76 | RVU17C |
| 2017-04-01 | Not available in this setting | $682.76 | RVU17B |
| 2017-01-01 | Not available in this setting | $682.76 | RVU17A |
| 2016-10-01 | Not available in this setting | $676.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $676.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $676.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $676.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $681.79 | RVU15D |
| 2015-07-01 | Not available in this setting | $681.79 | RVU15C |
| 2015-04-01 | Not available in this setting | $678.40 | RVU15B |
| 2015-01-01 | Not available in this setting | $678.40 | RVU15A |
| 2014-10-01 | Not available in this setting | $686.56 | RVU14D |
| 2014-07-01 | Not available in this setting | $686.56 | RVU14C |
| 2014-04-01 | Not available in this setting | $686.56 | RVU14B |
| 2014-01-01 | Not available in this setting | $686.56 | RVU14A |
| 2013-10-01 | Not available in this setting | $665.79 | RVU13D |
| 2013-07-01 | Not available in this setting | $665.79 | RVU13C |
| 2013-04-01 | Not available in this setting | $665.79 | RVU13B |
| 2013-01-01 | Not available in this setting | $665.79 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
58660 billing questions
When should 58660 be selected instead of a code for lesion excision?
Use 58660 when the operative work releases adhesions tethering a tube or ovary. When the main work is excision of pelvic lesions, consider 58662 instead.
Can adhesiolysis be reported with another laparoscopic procedure?
Report it only when the operative record supports distinct therapeutic adhesiolysis, rather than adhesions being encountered or released as part of the other procedure. CMS applies endoscopy-family pricing when related endoscopies are performed together.
Should modifier 50 be used when adhesions are treated on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.
What documentation supports reporting 58660?
Document the involved tube or ovary, the adhesions treated, and the operative steps showing that they were released. The record should distinguish this work from inspection alone or another primary procedure.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be paid for this procedure?
CMS indicates that assistant-at-surgery payment may be available and co-surgeons are permitted. Team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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